Salary Authorization Form
Salary Authorization Form
Please fill out this form completely to streamline the adjustment process.
Employee Information
Name
Position
Employment Status
-
Full-Time
-
Part-Time
-
Contract
-
Freelance
Adjustment Details
Request Date
Reason for Increase
-
Performance-Based
-
Promotion
-
Market Adjustment
-
New Job Responsibilities
-
Current Salary
Percentage of Increase
New Salary
Effective Date
Approval (for management only)
The request has been:
-
Approved
-
Declined:
Specify Reason
|
Supervisor
Name: Date: |
HR
Name: Date: |
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